de Virgilio C, Bui H, Donayre C, Ephraim L, Lewis R J, Elbassir M, Stabile B E, White R
Department of Surgery, Harbor-UCLA Medical Center, Torrance, Calif 90509, USA.
Arch Surg. 1999 Sep;134(9):947-50; discussion 950-1. doi: 10.1001/archsurg.134.9.947.
Adverse cardiac event rates following endovascular abdominal aortic aneurysm (EAAA) and open abdominal aortic aneurysm (OAAA) repair are similar. We also hypothesized that the Eagle criteria (Q wave on electrocardiogram, diabetes, angina, congestive heart failure, age >70 years, and ventricular ectopy) are useful predictors of cardiac events in patients undergoing EAAA repair.
Prospective (patients undergoing EAAA repair) and retrospective (patients undergoing OAAA repair).
Public teaching and Veterans Affairs medical centers.
Eighty-three EAAA and 63 OAAA repairs.
Myocardial infarction, congestive heart failure, and cardiac death.
Patients with EAAA were older (73 vs 68 years, P=.003). There were no differences in the mean number of Eagle criteria (1.2 vs 1.3), cardiac event rates (6% vs 4.8%), or mortalities (3.6% vs 4.8%). Within the EAAA group, congestive heart failure (P=.005) and Q wave on electrocardiogram (P=.006) were the only predictors of cardiac events.
Patients undergoing OAAA and EAAA repair had similar cardiac event rates and mortality. In patients undergoing EAAA repair, history of congestive heart failure and Q wave on electrocardiogram were predictors of cardiac events.
血管腔内腹主动脉瘤（EAAA）修复术和开放性腹主动脉瘤（OAAA）修复术后的不良心脏事件发生率相似。我们还假设，Eagle标准（心电图上的Q波、糖尿病、心绞痛、充血性心力衰竭、年龄>70岁和室性异位搏动）是接受EAAA修复术患者心脏事件的有效预测指标。
前瞻性研究（接受EAAA修复术的患者）和回顾性研究（接受OAAA修复术的患者）。
公立教学医院和退伍军人事务医疗中心。
83例接受EAAA修复术和63例接受OAAA修复术的患者。
心肌梗死、充血性心力衰竭和心源性死亡。
接受EAAA修复术的患者年龄更大（73岁对68岁，P = 0.003）。Eagle标准的平均数量（1.2对1.3）、心脏事件发生率（6%对4.8%）或死亡率（3.6%对4.8%）无差异。在EAAA组中，充血性心力衰竭（P = 0.005）和心电图上的Q波（P = 0.006）是心脏事件的唯一预测指标。
接受OAAA和EAAA修复术的患者心脏事件发生率和死亡率相似。在接受EAAA修复术的患者中，充血性心力衰竭病史和心电图上的Q波是心脏事件的预测指标。
